{"npi":"1366472029","type":"NPI-2","status":"active","name":{"display":"Kellam & Associates, P. C.","other":[],"organization_name":"KELLAM & ASSOCIATES, P. C.","authorised_official":"Kenneth Tarr"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"261QM1200X","description":"Magnetic Resonance Imaging (MRI) Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QR0200X","description":"Radiology Clinic","primary":false,"state":null,"license":null},{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":false,"state":null,"license":null},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1375 N MAIN ST","city":"LAPEER","state":"MI","postal_code":"484461350","country_code":"US","phone":"8106675500"},{"purpose":"MAILING","street_1":"PO BOX 32627","city":"DETROIT","state":"MI","postal_code":"482320627","country_code":"US","phone":"8667441452","fax":"5864124101"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"300F361250","state":"MI","issuer":"BCBS GROUP #"},{"type_code":"01","label":"Other","value":"CA3518","state":"MI","issuer":"RR GROUP PIN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20060828000091","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MI","pac_id":"6204830649"}]},"enumeration_date":"2006-07-05","last_updated":"2013-02-06","_meta":{"source":"NPPES","snapshot_date":"2013-02-06","doc_url":"https://findmynpi.com/api"}}